The Effect of Training on Dementia Care among Nurses: A Systematic Review

Authors

  • Sri Mulyani Department of Mental Health and Community, School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Probosuseno Probosuseno Department of Internal Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia https://orcid.org/0000-0002-1243-6835
  • Intansari Nurjannah Department of Mental Health and Community, School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia https://orcid.org/0000-0002-5406-8727

DOI:

https://doi.org/10.3889/oamjms.2021.5969

Keywords:

Dementia, Training, Education, Nurses

Abstract

Background: Dementia has become a global concern in ageing societies nowadays. Nurses have major roles in caring for dementia patients in various settings. There have been many trainings on dementia conducted for nurses and other health staff. However, reviews of the effect of the trainings on nurses are still scarce. This paper aims to review the impact of training on dementia care among nurses in differents settings.

Method: systematic search from Medline, Pubmed and Scopus was conducted until February 2019. Additional references were collected using Google Scholar. The inclusion criteria were: primary papers, written in English, involving nurses, and related to dementia.

Results: There were 20 papers included in this review. In terms of methodology, most of the articles employ quantitative method (90%). Only one article uses qualitative method (5%) and another one employs mixed methods design (5%). Pretest and posttest design is the mostly used design and four articles use Randomized Control Trial (RCT). The settings of the papers were nursing home or long-term care facilities (45%), hospitals (35%) and other settings (20%).  The lenght of the training was varied from 2 hours to 18 hours within a maximum period of eight months. The various outcome measures are categorised into four domains: cognitive, physical, psychological and working performance. The results of the review indicate that training and education for nurses can improve their knowledge, attitude, confidence and self efficacy towards better dementia care. However, the results regarding staff burnout, stress and physical health complaint are still unclear.

Conclusion: raining and education in dementia care were varied and generally improve nurses’ capacities mainly in cognitive domain. However, the effect for the psychological and their working performance were still doubted

Keywords: dementia, training, education, nurses

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Prince M, Comas-Herrera A, Knapp M, Guerchet M, Karagiannidou M. World Alzheimer Report 2016: Improving Healthcare for People Living with Dementia: Coverage, Quality and Costs Now and in the Future; 2016.

Prince MJ. World Alzheimer Report 2015: The Global Impact of Dementia: An Analysis of Prevalence, Incidence, Cost and Trends: Alzheimer’s Disease International; 2015.

Thompson R, Heath H. Dignity in Dementia: Transforming General Hospital Care. Summary of Findings from a Survey of Carers and People Living with Dementia. London: Royal College of Nursing; 2011.

Surr CA, Gates C, Irving D, Oyebode J, Smith SJ, Parveen S, et al. Effective dementia education and training for the health and social care workforce: A systematic review of the literature. Rev Educ Res. 2017;87(5):966-1002. https://doi.org/10.3102/0034654317723305 PMid:28989194 DOI: https://doi.org/10.3102/0034654317723305

Surr CA, Gates C. What works in delivering dementia education or training to hospital staff? A critical synthesis of the evidence. Int J Nurs Stud. 2017;75:172-88. https://doi.org/10.1016/j.ijnurstu.2017.08.002 PMid:28837914 DOI: https://doi.org/10.1016/j.ijnurstu.2017.08.002

Higgins J, Green S. Cochrane Handbook for Systematic Reviews of Intervention. West Sussex: John Willey and Sons Ltd.; 2008. DOI: https://doi.org/10.1002/9780470712184

Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097 PMid:19621072 DOI: https://doi.org/10.1371/journal.pmed.1000097

Caldwell K, Henshaw L, Taylor G. Developing a framework for critiquing health research. J Health Soc Environ Issues. 2005;6(1):45-54.

da Silva Serelli L, Reis RC, Laks J, De Pádua AC, Bottino CM, Caramelli P. Effects of the staff training for assisted living residences protocol for caregivers of older adults with dementia: A pilot study in the Brazilian population. Geriatr Gerontol Int. 2017;17(3):449-55. https://doi.org/10.1111/ggi.12742 PMid:26847046 DOI: https://doi.org/10.1111/ggi.12742

Davison TE, McCabe MP, Visser S, Hudgson C, Buchanan G, George K. Controlled trial of dementia training with a peer support group for aged care staff. Int J Geriatr Psychiatry. 2007;22(9):868-73. https://doi.org/10.1002/gps.1754 PMid:17191270 DOI: https://doi.org/10.1002/gps.1754

Elvish R, Burrow S, Cawley R, Harney K, Pilling M, Gregory J, et al. “Getting to know me”: The second phase roll-out of a staff training programme for supporting people with dementia in general hospitals. Dementia. 2018;17(1):96-109. https://doi.org/10.1177/1471301216634926 PMid:26924840 DOI: https://doi.org/10.1177/1471301216634926

Guzmán A, Wenborn J, Swinson T, Orrell M. Evaluation of the ladder to the moon, culture change studio engagement programme staff training: Two quasi-experimental case studies. Int J Older People Nurs. 2017;12(3):e12147. https://doi.org/10.1111/opn.12147 PMid:28185441 DOI: https://doi.org/10.1111/opn.12147

Jack-Waugh A, Ritchie L, MacRae R. Assessing the educational impact of the dementia champions programme in Scotland: Implications for evaluating professional dementia education. Nurse Educ Today. 2018;71:205-10. https://doi.org/10.1016/j.nedt.2018.09.019 PMid:30296731 DOI: https://doi.org/10.1016/j.nedt.2018.09.019

Kemeny B, Boettcher IF, DeShon RP, Stevens AB. Using experiential techniques for staff development: liking, learning, and doing. J Gerontol Nurs. 2006;32(8):9-14. https://doi.org/10.3928/00989134-20060801-03 PMid:16915741 DOI: https://doi.org/10.3928/00989134-20060801-03

Kuske B, Luck T, Hanns S, Matschinger H, Angermeyer MC, Behrens J, et al. Training in dementia care: A clusterrandomized controlled trial of a training program for nursing home staff in Germany. Int Psychogeriatr. 2009;21(2):295-308. https://doi.org/10.1017/s1041610208008387 PMid:19193252 DOI: https://doi.org/10.1017/S1041610208008387

Matsuda Y, Hashimoto R, Takemoto S, Yoshioka Y, Uehara T, Kawasaki Y. Educational benefits for nurses and nursing students of the dementia supporter training program in Japan. PLoS One. 2018;13(7):e0200586. https://doi.org/10.1371/journal.pone.0200586 PMid:30024922 DOI: https://doi.org/10.1371/journal.pone.0200586

Moyle W, Venturato L, Cooke M, Murfield J, Griffiths S, Hughes J, et al. Evaluating the capabilities model of dementia care: A non-randomized controlled trial exploring resident quality of life and care staff attitudes and experiences. Int Psychogeriatr. 2016;28(7):1091-100. https://doi.org/10.1017/s1041610216000296 PMid:26960255 DOI: https://doi.org/10.1017/S1041610216000296

Palmer AC, Withee BM. Dementia care: Effects of behavioral intervention training on staff perceptions of their work in veterans’ nursing home. Geriatr Nurs. 1996;17(3):137-40. https://doi.org/10.1016/s0197-4572(96)80097-8 PMid:8846944 DOI: https://doi.org/10.1016/S0197-4572(96)80097-8

Palmer JL, Lach HW, McGillick J, Murphy-White M, Carroll MB, Armstrong JL. The dementia friendly hospital initiative education program for acute care nurses and staff. J Contin Educ Nurs. 2014;45(9):416-24. https://doi.org/10.3928/00220124-20140825-20 PMid:25299008 DOI: https://doi.org/10.3928/00220124-20140825-20

Peterson D, Berg-Weger MS, McGillick J, Schwartz L. Basic care I: The effect of dementia-specific training on certified nursing assistants and other staff. Am J Alzheimers Dis Other Demen. 2002;17(3):154-64. https://doi.org/10.1177/153331750201700309 PMid:12083345 DOI: https://doi.org/10.1177/153331750201700309

Pleasant ML, Molinari V, Hobday JV, Fazio S, Cullen N, Hyer K. An evaluation of the CARES(R) dementia basics program among caregivers. Int Psychogeriatr. 2017;29(1):45-56. https://doi.org/10.1017/s1041610216001526 PMid:27692028 DOI: https://doi.org/10.1017/S1041610216001526

Martin LS, Gillies L, Coker E, Pizzacalla A, Montemuro M, Suva G, et al. An education intervention to enhance staff self-efficacy to provide dementia care in an acute care hospital in Canada: A nonrandomized controlled study. Am J Alzheimers Dis Other Demen. 2016;31(8):664-77. https://doi.org/10.1177/1533317516668574 PMid:27659392 DOI: https://doi.org/10.1177/1533317516668574

Shanley E, McDowell J, Wynne T. Evaluation of a course for charge nurses on caring for people with dementia. J Adv Nurs. 1998;28(3):532-9. https://doi.org/10.1046/j.1365-2648.1998.00714.x PMid:9756220 DOI: https://doi.org/10.1046/j.1365-2648.1998.00714.x

Soderlund M, Norberg A, Hansebo G. Validation method training: Nurses’ experiences and ratings of work climate. Int J Older People Nurs. 2014;9(1):79-89. https://doi.org/10.1111/opn.12027 PMid:23601158 DOI: https://doi.org/10.1111/opn.12027

Surr CA, Smith SJ, Crossland J, Robins J. Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study. Int J Nurs Stud. 2016;53:144-51. https://doi.org/10.1016/j.ijnurstu.2015.09.009 PMid:26421910 DOI: https://doi.org/10.1016/j.ijnurstu.2015.09.009

Teodorczuk A, Mukaetova-Ladinska E, Corbett S, Welfare M. Learning about the patient: An innovative interprofessional dementia and delirium education programme. Clin Teacher. 2014;11(7):497-502. https://doi.org/10.1111/tct.12203 PMid:25417975 DOI: https://doi.org/10.1111/tct.12203

Wang F, Xiao LD, Wang K, Li M, Yang Y. Evaluation of a WeChat-based dementia-specific training program for nurses in primary care settings: A randomized controlled trial. Appl Nurs Res. 2017;38:51-9. https://doi.org/10.1016/j.apnr.2017.09.008 PMid:29241520 DOI: https://doi.org/10.1016/j.apnr.2017.09.008

Wang Y, Xiao LD, Ullah S, He GP, De Bellis A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized

controlled trial. Nurse Educ Today. 2017;49:1-7. https://doi.org/10.1016/j.nedt.2016.10.016 PMid:27855297 DOI: https://doi.org/10.1016/j.nedt.2016.10.016

Shin JH, Seo HJ, Kim KH, Kim KH, Lee Y. Knowledge about dementia in South Korean nursing students: A cross-sectional survey. BMC Nurs. 2015;14(1):67. https://doi.org/10.1186/s12912-015-0116-4 PMid:26635508 DOI: https://doi.org/10.1186/s12912-015-0116-4

Rust TB, See SK. Knowledge about aging and Alzheimer disease: A comparison of professional caregivers and noncaregivers. Educ Gerontol. 2007;33(4):349-64. https://doi.org/10.1080/03601270701199065 DOI: https://doi.org/10.1080/03601270701199065

Carpenter BD, Zoller SM, Balsis S, Otilingam PG, Gatz M. Demographic and contextual factors related to knowledge about Alzheimer’s disease. Am J Alzheimers Disease Other Demen. 2011;26(2):121-6. https://doi.org/10.1177/1533317510394157 PMid:21233137 DOI: https://doi.org/10.1177/1533317510394157

Andrén S, Elmståhl S. Family caregivers’ subjective experiences of satisfaction in dementia care: Aspects of burden, subjective health and sense of coherence. Scand J Caring Sci. 2005;19(2):157-68. https://doi.org/10.1111/j.1471-6712.2005.00328.x PMid:15877641 DOI: https://doi.org/10.1111/j.1471-6712.2005.00328.x

Schulz R, Beach SR. Caregiving as a risk factor for mortality: The Caregiver health effects study. JAMA. 1999;282(23):2215-9. https://doi.org/10.1001/jama.282.23.2215 PMid:10605972 DOI: https://doi.org/10.1001/jama.282.23.2215

Prescott S, Logan A, Albrecht G, Campbell D, Crane J, Cunsolo A, et al. The canmore declaration: Statement of principles for planetary health. Challenges. 2018;9(2):31. https://doi.org/10.3390/challe9020031 DOI: https://doi.org/10.3390/challe9020031

Viner RM, Ozer EM, Denny S, Marmot M, Resnick M, Fatusi A, et al. Adolescence and the social determinants of health. Lancet. 2012;379(9826):1641-52. https://doi.org/10.1016/s0140-6736(12)60149-4 PMid:22538179 DOI: https://doi.org/10.1016/S0140-6736(12)60149-4

Elif K, Taşkapilioğlu Ö, Bakar M. Caregiver burden in different stages of Alzheimer’s disease. Noro Psikiyatr Ars. 2017;54(1):82-6. https://doi.org/10.5152/npa.2017.11304 PMid:28566965 DOI: https://doi.org/10.5152/npa.2017.11304

Shin EH, Lee HK. The effect the training program on dementia has on the knowledge and attitude of nursing college students towards dementia and attitude towards the caring of the elderly. Med Legal Update. 2019;19(1):357-62. https://doi.org/10.5958/0974-1283.2019.00069.0 DOI: https://doi.org/10.5958/0974-1283.2019.00069.0

McCabe M. Dementia education with and without virtual reality (VR) experiences to increase knowledge, build empathy, change attitude and improve care practice. Alzheimers Demen. 2018;14(7):185. https://doi.org/10.1016/j.jalz.2018.06.2017 DOI: https://doi.org/10.1016/j.jalz.2018.06.2017

Ganster DC, Schaubroeck J. Work stress and employee health. J Manag. 1991;17(2):235-71. DOI: https://doi.org/10.1177/014920639101700202

Yunita PI, Saputra IG. Millennial generation in accepting mutations: Impact on work stress and employee performance. Int J Soc Sci Hum. 2019;3(1):102-14. https://doi.org/10.29332/ijssh.v3n1.268 DOI: https://doi.org/10.29332/ijssh.v3n1.268

Downloads

Published

2021-04-04

How to Cite

1.
Mulyani S, Probosuseno P, Nurjannah I. The Effect of Training on Dementia Care among Nurses: A Systematic Review. Open Access Maced J Med Sci [Internet]. 2021 Apr. 4 [cited 2024 Nov. 4];9(F):145-52. Available from: https://oamjms.eu/index.php/mjms/article/view/5969

Issue

Section

Systematic Review Article

Categories